Permit 011 q CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00059
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/6/2007
PARCEL: 2S 112BA - 05900
SITE ADDRESS: 14058 SW MILTON CT ZONING: I -L •
SUBDIVISION: BONITA INDUSTRIAL PARK LOT: 007 JURISDICTION: TIG
PROJECT: ION SYSTEMS
Project Description: (9) cameras.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM &PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
• OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: CAMERAS X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
GOODHEAD, DAVID + JAN M HECKTEC TECHNICAL LLC
14058 SW MILTON CT 3484 HILLSIDE CT
PORTLAND, OR 97224 HUBBARD, OR 97032
Phone: Contact #: PRI 503 -572 -1827
FAX 503- 981 -0478
FEES Reg #: ELE CLE14
LIC 162394
Description Date Amount SUP 1496LEA
[ELPRMT] ELR Permit 3/6/2007 $75.00
[TAX] 8% State Surcha 3/6/2007 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: 02 0 .
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
Kevin Heck 503- 981 -0478 p.1
r - ' r '.-- -
_Electrical Permit A licatio FOIZ OFFICE 1 SF. oNi.'
• g CEDE® � I i. 1
City of Tigard (]
! • Permit No: -, 1 I /
" 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
' 0 : Phone: 503.639.4171 Fax: 503.51fQ DaleB
6 0 e 2 Date/By: Permit:
TIC A Et
Internet: Linc: 503.639.4175 �lrr�lrtli(( / Date RendyBy: tur I ® See Page 2 for
lnteet: www.tigard- or.gov CITY OF TII RD Notified/Method: Supplemental Information
TYPE caltiftglf113 DIVISION PLAN REVIEW
❑ New construction ® Addition/alteration /replacement Please check all that apply (submit b sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial - use agricultural
❑ I- and 2- family dwelling ® Conunercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other. ❑ Firo pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system' larger separately derived system.
0 Addition of new motor load of ❑ A °,`E ", °I- 2 ",'1 -i
Job no.: I lob site address: 14058 Sw Milton CL 100HP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/Statc/ZIP: Portland, Or 97224 ❑ Health-care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: I Project name: ION Systems ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Sw Bonita Rd & Sw Milton Ct. oe,erirunn I Qty. I Fee. I Total I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 I
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Installing 9 cameras Limited energy, multi - family 75 00 2
$ residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 _
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
® APPLICANT I ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2'
Business name: Hecktec Technical LLC B. Fee for branch circuits
without service or feeder fee, 46.85 2
Contact name: Rachel Heck first branch circuit _
Address: 3484 Hillside Ct, Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Hubbard, Or 97032 Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: (503) 572 -1938 I Fax: : (503) 981 -0478 Reconnect only 66.85 2
E -mail: hecktec@msn.com Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
b
Business name: Hecktec Technical LLC Signal panel, or limited-
\ energy panel, alteration, or 1 ZS ®u
Address: 3484 Hillside Ct. extension. Describe: Page 2 I 2
City/ State/ZIP: Hubbard, Or 97032 Each additional inspection over allowable in any of the above
Per inspection 62.50
a"' Phone: (503) 572 -1938 I Fax: (503) 981-.0478 Investigation per hour (1 hr min) 62.50
CCB Lie.: 162394 I Electrical Lie.: CLE14 I Suprv. Lic.:/V9 � 9 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 75.00
Print name: (Date: Plan review (25% of permit fee):
State surcharge (8% of permit fee): 6.00
Authorized signature: Ir TOTAL PERMIT FEE: 81.00
Print name: Rachel Heck I Date: 3/6/07 This permit application expires Ira permit is not obtained within 180
days after it has been accepted as complete.
• Number of inspections allowed per permit.
: lauilding \Pennil,\ELC- PumitApp.doc 05/23/06 440-4615TtI I/05 /COM/WFB
CITY OF TIGARD - y,,, , -
BUILDING DIVISION PERMIT #: ELR2007 -00059
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/6/2007
Phone: (503) 639 -4171 Atb
Inspection Requests (24 Hrs.): (503) 639 -4175 :, „
INSPECTION WORKSHEET FOR DATE: 3/14/2007 TIME: 7:00AM PAGE: 62
SITE ADDRESS: 14058 SW MILTON CT CLASS OF WORK:
SUBDIVISION: BONITA INDUSTRIAL PARK LOT #: 007 TYPE OF USE:
PROJECT NAME: ION SYSTEMS
DESCRIPTION: (9) cameras.
OWNER: GOODHEAD, DAVID + JAN M, PHONE #:
CONTRACTOR: HECKTEC TECHNICAL LLC PHONE #: 503 - 1827
Inspection Request Scheduled For: Date: 3/14/2007 Pour Time:
Code # Inspection Description onfirm # Contact # Message
135 v� vi _`e 044767 -01 503 -572 -1938 Y
Corr ectidns /Co rents/ • ructions:
N\\ 000 E;
PASS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 V ` Date: 3' • O Phone #: (503) 718 - 40